Individual
DR. EMANUEL JAMES ROTHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
22770 KELLY RD, EASTPOINTE, MI 48021-2009
(586) 775-0520
(586) 775-2670
Mailing address
22770 KELLY RD, EASTPOINTE, MI 48021-2009
(586) 775-0520
(586) 775-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901007533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002091
FORTIS ID NUMBER
MI
01
—
053109
FIRST COMMONWEALTH ID #
MI
05
—
4012430
—
MI
Enumeration date
09/27/2006
Last updated
07/09/2007
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